MRS. FERESHTEH KHODAEI SHAHROKHI (NPI# 1346876182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346876182 |
| Entity Type | Individual |
| Full Name | MRS. FERESHTEH KHODAEI SHAHROKHI |
| Credential | LCSW |
| Practice Address |
Lyngate Ct Suite 200 Burke VA 22015 |
| Mailing Address |
726 Gouldman Lane Great Falls VA 22066 |
| Practice Telephone | 7036034882 |
| Practice Fax Number | 7035327979 |
| Mailing Telephone | 7034423447 |
| Mailing Fax Number | 7033491132 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003000 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DRIVER'S LICENSE | A62484544 | 01 |
| Street Address |
LYNGATE CT SUITE 200 |
| City | BURKE |
| State | VA |
| Zip Code | 22015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| 1437344314 | Joseph Dehyar | Dentist | 9534 Burke Rd, Burke, VA 22015 | 2007-09-13 |
| Find all providers in zip 22015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114182375 | Jeanne Costin Binder | Social Worker | 5944 Ohara Landing Ct, Burke, VA 22015-2510 | 2008-07-26 |
| 1174780191 | Brian Jay Burgener | Social Worker | 9403 Odyssey Ct, Burke, VA 22015-1910 | 2008-05-19 |
| 1093883423 | Maryann K Wray | Social Worker | 5999burke Commons Road, Burke, VA 22031-1517 | 2006-12-01 |
| 1417034844 | Sharon Weaver Hoover | Social Worker | 5274 Lyngate Court, Burke, VA 22015-2885 | 2006-11-01 |
| 1033293139 | Christopher Ashby Lanier | Social Worker | 9316 Old Keene Mill Rd Ste A, Burke, VA 22015-4285 | 2006-10-25 |
| 1043220841 | Paula S Weisshaar | Social Worker | 5206a Rolling Rd, Burke, VA 22015-1605 | 2006-08-08 |
| 1073539128 | Clare Vogel | Social Worker | 5274 Lyngate Ct., Burke, VA 22015 | 2006-07-14 |
| 1730105834 | Bonnie Golden | Social Worker | 8989 Cotswold Dr, Suite 8, Burke, VA 22015-1601 | 2006-07-14 |
| 1124587266 | Karla Jean Dean-mettling | Social Worker | 5276 Lyngate Ct, Burke, VA 22015-1688 | 2019-03-18 |
| 1710489646 | Jessica Dawn Hansen | Social Worker | 5999 Burke Commons Rd, Burke, VA 22015-2880 | 2018-03-07 |
| Find all providers in BURKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.